Patient Forms

Patient Forms


Please complete these forms prior to your scheduled appointment and mail them back to our office. If your appointment is scheduled in fewer than 5 days, please fax the forms to our secure fax, (518) 383-6737, or bring them with you to your scheduled visit.

NOTE: All forms are in Adobe PDF format.

The PDF forms below can to be downloaded and printed. After filling them out, they can be sent to our office or bring them with you to your next appointment.

Consent for Relatives
Flu Vaccine Screening
Flu Vaccine Screening - Flu Clinic Date 9/11/2020
Flu Vaccine Screening - Flu Clinic Date 9/12/2020
New Patient
Patient Authorization